Order Form

I am	New Customer Returning Customer HM's Dropship Agent
I want to	Make New Order Add More Order
Agent's ID (Only applicable for HaYaNa Muslima's Dropship Agent)
Agent's Email Address(Only applicable for HaYaNa Muslima's Dropship Agent)
Name
Email Address
Contact No
Delivery Address (please remember to include postcode no)
Product Code/ Item & Quantity
Alternative Product Code (If the item I listed above is Out of Stock )
Payment Method	Maybank2u Cimbclicks Maybank Cash Deposit Cimb Cash Deposit Western Union Paypal (4.5% + RM2) Interbank Transfer (Other bank)
I will make the payment	Within 24 hours after confirmation Within 2 days after confirmation
	I HAVE READ AND AGREE WITH THE TERM & CONDITIONS
*Please click Submit Form, click Continue and wait for our confirmation email within 36 hours*

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